Anterior intra-pelvic approach and corona mortis vascular anastomoses: A clinical anatomical study shows high frequency
Background/Aim. Corona mortis vascular anastomoses (CMVA) must be located during surgical gold standard treatment method for displaced acetabular fractures. This study aimed to answer the following questions: What is the clinical frequency observed of CMVA? What is the composition of CMVA: arterial,...
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2020-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2020/0042-84501800141G.pdf |
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| author | Güzel Yunus Elmadağ Nuh Mehmet Arazi Mehmet Özen Kemal Emre Çiçekcibaşı Aynur Emine |
| author_facet | Güzel Yunus Elmadağ Nuh Mehmet Arazi Mehmet Özen Kemal Emre Çiçekcibaşı Aynur Emine |
| author_sort | Güzel Yunus |
| collection | DOAJ |
| description | Background/Aim. Corona mortis vascular anastomoses (CMVA) must be located during surgical gold standard treatment method for displaced acetabular fractures. This study aimed to answer the following questions: What is the clinical frequency observed of CMVA? What is the composition of CMVA: arterial, venous or a combination? Methods. A retrospective review was made of 31 patients (24 males, 7 females; mean age 43.5 years) who underwent surgery for acetabular fractures between 2011 and 2015. The anterior intra-pelvic (AIP) approach was applied to all patients. By examination of the intraoperative CMVA compositions, the frequency of CMVA was determined together with identification of venous or arterial formation and distance from the pubic symphysis. Results. CMVA was observed during dissection in 29 (94%) patients and was ligated. In 14 (45%) patients, CMVA was recorded as venous, in 7 (23%) patients as arterial and in 8 (26%) patients as both. The mean distance of CMVA from the pubic symphysis was 35.9 mm (range 21.6–48.7 mm). Conclusion. The results showed very high CMVA frequency in the AIP approach, higher than previously reported in the English literature. Orthopedic surgeons should be aware about CMVA while doing this approach in surgical treatment of acetabular fractures. |
| format | Article |
| id | doaj-art-738bb2ae26ee4cddb828750f74b64c44 |
| institution | DOAJ |
| issn | 0042-8450 2406-0720 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-738bb2ae26ee4cddb828750f74b64c442025-08-20T03:19:08ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202020-01-0177886687110.2298/VSP180202141G0042-84501800141GAnterior intra-pelvic approach and corona mortis vascular anastomoses: A clinical anatomical study shows high frequencyGüzel Yunus0Elmadağ Nuh Mehmet1Arazi Mehmet2Özen Kemal Emre3Çiçekcibaşı Aynur Emine4Ordu University, Faculty of Medicine, Department of Orthopedics and Traumatology, Ordu, TurkeyBezmialem Vakif University, Faculty of Medicine, Department of Orthopedics and Traumatology, İstanbul, TurkeyPrivate Farabi Hospital, Department of Orthopedics and Traumatology, Konya, Turkeyİzmir Kâtip Çelebi University, Faculty of Medicine, Department of Anatomy, İzmir, TurkeyNecmettin Erbakan University, Meram Faculty of Medicine, Department of Anatomy, Konya, TurkeyBackground/Aim. Corona mortis vascular anastomoses (CMVA) must be located during surgical gold standard treatment method for displaced acetabular fractures. This study aimed to answer the following questions: What is the clinical frequency observed of CMVA? What is the composition of CMVA: arterial, venous or a combination? Methods. A retrospective review was made of 31 patients (24 males, 7 females; mean age 43.5 years) who underwent surgery for acetabular fractures between 2011 and 2015. The anterior intra-pelvic (AIP) approach was applied to all patients. By examination of the intraoperative CMVA compositions, the frequency of CMVA was determined together with identification of venous or arterial formation and distance from the pubic symphysis. Results. CMVA was observed during dissection in 29 (94%) patients and was ligated. In 14 (45%) patients, CMVA was recorded as venous, in 7 (23%) patients as arterial and in 8 (26%) patients as both. The mean distance of CMVA from the pubic symphysis was 35.9 mm (range 21.6–48.7 mm). Conclusion. The results showed very high CMVA frequency in the AIP approach, higher than previously reported in the English literature. Orthopedic surgeons should be aware about CMVA while doing this approach in surgical treatment of acetabular fractures.http://www.doiserbia.nb.rs/img/doi/0042-8450/2020/0042-84501800141G.pdfarteriovenous anastomosisanatomyorthopedicsacetabulumwounds and injuriespubic symphysis |
| spellingShingle | Güzel Yunus Elmadağ Nuh Mehmet Arazi Mehmet Özen Kemal Emre Çiçekcibaşı Aynur Emine Anterior intra-pelvic approach and corona mortis vascular anastomoses: A clinical anatomical study shows high frequency Vojnosanitetski Pregled arteriovenous anastomosis anatomy orthopedics acetabulum wounds and injuries pubic symphysis |
| title | Anterior intra-pelvic approach and corona mortis vascular anastomoses: A clinical anatomical study shows high frequency |
| title_full | Anterior intra-pelvic approach and corona mortis vascular anastomoses: A clinical anatomical study shows high frequency |
| title_fullStr | Anterior intra-pelvic approach and corona mortis vascular anastomoses: A clinical anatomical study shows high frequency |
| title_full_unstemmed | Anterior intra-pelvic approach and corona mortis vascular anastomoses: A clinical anatomical study shows high frequency |
| title_short | Anterior intra-pelvic approach and corona mortis vascular anastomoses: A clinical anatomical study shows high frequency |
| title_sort | anterior intra pelvic approach and corona mortis vascular anastomoses a clinical anatomical study shows high frequency |
| topic | arteriovenous anastomosis anatomy orthopedics acetabulum wounds and injuries pubic symphysis |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2020/0042-84501800141G.pdf |
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